ADVANCED DERMATOLOGY,P.C. (NPI# 1932360757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932360757 |
| Entity Type | Organization |
| Organization Name | ADVANCED DERMATOLOGY,P.C. |
| Practice Address |
6043 Prestley Mill Rd Suite#b Douglasville GA 30134-2280 |
| Mailing Address |
Po Box 76737 Atlanta GA 30358-1737 |
| Practice Telephone | 7707397546 |
| Practice Fax Number | 7707397920 |
| Mailing Telephone | 7707397546 |
| Mailing Fax Number | 7707397920 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | MISS BRANDI ASHLEY (OFFICE MANAGER) |
| Authorized Official Telephone | 7707397546 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 037741 | GA | Other Service Providers |
| Street Address |
6043 PRESTLEY MILL RD SUITE#B |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30134-2280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801858527 | Tracy Kathleen Jones | Registered Nurse | 6043 Prestley Mill Rd, Suite D, Douglasville, GA 30134 | 2006-04-06 |
| 1760082077 | Ortho Sport and Spine Physicians Douglasville | Physical Medicine & Rehabilitation | 6043 Prestley Mill Rd, Douglasville, GA 30134-2280 | 2020-10-27 |
| 1194078170 | Wellstar Medical Group, LLC | Internal Medicine | 6043 Prestley Mill Rd, Suite C, Douglasville, GA 30134-2280 | 2012-10-16 |
| 1598828063 | Richard W. Kinsey | Dentist | 6043 Prestley Mill Rd, Suite A, Douglasville, GA 30134-2280 | 2006-12-18 |
| 1508929084 | Stacey Kinsey, Dmd PC | Dentist | 6043 Prestley Mill Rd, Suite A, Douglasville, GA 30134-2280 | 2006-12-18 |
| 1194884916 | Christopher Jamarl Watts | Internal Medicine | 6043 Prestley Mill Rd, Suite C, Douglasville, GA 30134 | 2006-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851915631 | Lilian Pereira | Nurse Practitioner | Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 | 2020-06-08 |
| 1548822901 | Sweet Resolve LLC | Nurse Practitioner | 4318 Ridge Rd, Ste 111 Pmb 1017, Douglasville, GA 30134 | 2019-07-05 |
| 1598328791 | Straight Street Life Center Inc | Case Manager/Care Coordinator | 12461 Veterans Memorial, Douglasville, GA 30134 | 2019-04-15 |
| 1174014930 | Caitlin Waldrip | Chiropractor | 8326a Office Park Dr., Douglasville, GA 30134 | 2018-05-28 |
| 1861901050 | Michelle Denise Winston | Licensed Practical Nurse | 6497 E Strickland, Douglasville, GA 30134 | 2017-09-20 |
| 1518335843 | Willis Anthony Rogers | Durable Medical Equipment & Medical Supplies | 7094 Rose Lake Circle, Douglasville, GA 30134 | 2015-09-03 |
| 1497135131 | Patricia Warren | Social Worker | 8317 Office Park Drive Ste.#e, Douglasville, GA 30134 | 2015-06-08 |
| 1457747321 | Kidz Rock Therapy Services, LLC | Occupational Therapist | 6732 West Spring Street, Douglasville, GA 30134 | 2015-04-08 |
| 1386068476 | Naa Y Oden | Psychologist | 4813 Ridge Rd Ste 111-639, Douglasville, GA 30134 | 2014-02-10 |
| 1467893271 | American Ems | Ambulance | 7240 Bankhead Hwy, Douglasville, GA 30134 | 2013-07-09 |
| Find all providers in zip 30134 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528596863 | Children's Heart Specialists of Georgia, P.C. | Specialist | 4904 Timber Ridge Dr Ste 202a, Douglasville, GA 30135-1831 | 2017-05-31 |
| 1124488929 | Angela Davidson | Specialist | 4444 Glider Cir, Douglasville, GA 30135-8726 | 2016-03-07 |
| 1942665526 | Pamela Staten | Specialist | 2225 Washington Dr, Douglasville, GA 30135-8141 | 2015-12-23 |
| 1821468711 | Kidney Care Specialists LLC | Specialist | 6095 Professional Pkwy Ste B205, Douglasville, GA 30134-5611 | 2015-10-05 |
| 1386010403 | Camilla Terrell | Specialist | 2750 Chapel Hill Rd Ste 800, Douglasville, GA 30135-1712 | 2015-08-12 |
| 1245579721 | Thomas Lynn Wright | Specialist | 5556 Bent Grass Way, Douglasville, GA 30135-5856 | 2013-02-04 |
| 1972802759 | Sabrina Elizabeth Serna | Specialist | 4654 Mill Water Xing, Douglasville, GA 30135-4184 | 2011-03-20 |
| 1265500243 | Tailored for Tots, LLC | Specialist | 2562 Fairburn Rd, Suite D-20, Douglasville, GA 30135-1461 | 2006-11-30 |
| 1063519544 | West Atlanta Orthopaedic Center | Specialist | 8355 Cherokee Blvd., Suite 205, Douglasville, GA 30134 | 2006-09-19 |
| 1285658542 | Daniel Zdonczyk | Specialist | 4586 Timber Ridge Dr Ste 180, Douglasville, GA 30135-7513 | 2006-07-27 |
| Find all providers in DOUGLASVILLE | ||||
| City | DOUGLASVILLE |
| Zip Code | 30134 |
Please comment or provide details below to improve the information on ADVANCED DERMATOLOGY,P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.